NPI 1245716042
Basko Dermatology LLC
Practice location
- Address
- 1331 W 75th St STE 402, Naperville, IL 60540-9336
- Phone
- (630) 596-8045
- Fax
- (630) 590-9634
- Mailing address
- 1331 W 75th St STE 402, Naperville, IL 60540-9311
Authorised official
- Name
- Juliana Llazar Basko-Plluska
- Title
- Owner
- Phone
- (773) 988-5833
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1245716042
- Entity type
- Organization
- NPI issued
- 14 Jul 2018
- Record last updated
- 15 Jan 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.